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Original

Vol. 11 No. 3 (2023): Jurnal Keperawatan Padjadjaran

Personal factors related to self-care management among people with hypertension at primary health care: A cross-sectional study

DOI
https://doi.org/10.24198/jkp.v11i3.2340
Submitted
August 1, 2023
Published
2023-12-01

Abstract

Background: Hypertension requires long-term treatment and can last a lifetime. Recommendations for hypertensive patients, where it is necessary to change behavior related to self-care, consist of increasing a healthy diet, limiting sodium intake, increasing physical activity, reducing smoking, and reducing alcohol consumption. Objective: The purpose of this study was to identify the self-care model of patients with hypertension in primary healthcare in Kota Malang. Methods: This study's design was descriptive analytic with a cross-sectional methodology. Using G Power, 321 hypertension patients were used as samples. Purposive sampling was used in this study. The instruments used H-SCALE, also known as the Hypertension Self-Care Activity Level Effects. Pearson Chi-squared test was used to examine correlations among variables. Results: Factors of gender (p=0.001) and education (p=0.020) are related to self-care in hypertensive patients. Majority of respondents were women, 223 people (69.5%), Most of the respondents had elementary school education, 136 people (41.4%), the majority of the 321 respondents (216, 67.3%) have moderate self-care category. Gender and age were significant factors associated with self-care among hypertensive patients (p<0.05)  Conclusion: Gender and education level have significant correlation with self-care management of hypertension. Providing self-management intervention by considering gender and education level needs improvement. Other factors need to be explored in  further research.

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References

  1. Ainiyah, N., & Wijayanti, L. (2019). The relationship between attitudes about hypertension and the frequency of recurrence of hypertension in hypertension sufferers in rw 06 karah, Jambangan subdistrict, Surabaya. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 5(1), 47–53. https://doi.org/10.33023/jikep.v5i1.214
  2. Amelia, R., & Kurniawati, I. (2020). The Relationship between family support and adherence to the hypertension diet in hypertension sufferers in Tapos Village, Depok. Jurnal Kesehatan Saelmakers Perdana, 3(1), 77–90. https://doi.org/https://doi.org/10.32524/jksp.v3i1.232
  3. Apsari, D. P., Putra, I. G. N. M. S. W., & Maharjana, I. B. N. (2021). The relationship between family support and the role of pharmaceutical staff on adherence to taking antihypertensive medication. Jurnal Ilmiah Medicamento, 7(1), 19–26. https://doi.org/10.36733/medicamento.v7i1.1499
  4. Asih, K. (2021). Self Management Hipertensi (1st ed.). Jakad Media Publishing.
  5. Attygalle, U. R., Hewawitharana, G., & Wijesinghe, C. J. (2020). Migraine, attention deficit hyperactivity disorder and screen time in children attending a Sri Lankan tertiary care facility: are they associated? BMC Neurology, 20(1), 1–7. https://doi.org/10.1186/s12883-020-01855-5
  6. Benjamin, E. J., Virani, S. S., Callaway, C. W., Chamberlain, A. M., Chang, A. R., Cheng, S., Chiuve, S. E., Cushman, M., Delling, F. N., Deo, R., De Ferranti, S. D., Ferguson, J. F., Fornage, M., Gillespie, C., Isasi, C. R., Jiménez, M. C., Jordan, L. C., Judd, S. E., Lackland, D., … Muntner, P. (2018). Heart disease and stroke statistics - 2018 update: A report from the American Heart Association. In Circulation (Vol. 137, Issue 12). https://doi.org/10.1161/CIR.0000000000000558
  7. Department of Communication and Information. (2020). Disease with the Highest Number of Cases in Malang City in 2020.
  8. Devi, H. M., & Putri, R. S. M. (2021). Increasing knowledge and adherence to the hypertension diet through health education at the Tlogosuryo posyandu, Malang City. Jurnal Akademika Baiturrahim Jambi, 10(2), 432. https://doi.org/10.36565/jab.v10i2.399
  9. Dewi, S. M., Saputra, B., & Daniati, M. (2021). The relationship between alcohol consumption and sleep quality on the incidence of hypertension. Jurnal Keperawatan Hang Tuah, 02(01), 31–44. https://doi.org/https://www.doi.org/10.25311/jkh.Vol2.Iss1.564
  10. Djamaluddin, N., Sulistiani, I., & Aswad, A. (2022). Self-efficacy of hypertension sufferers in the South City Health Center of Gorontalo. Jambura Nursing Journal, 4(1), 1–6. https://doi.org/10.37311/jnj.v4i1.13463
  11. Fernalia, Keraman, B., & Putra, R. S. (2021). Factors associated with self care management in hypertension patients. Jurnal Keperawatan Silampari, 5(March), 246–254. https://doi.org/https://doi.org/10.31539/jks.v5i1.2906
  12. Gusty, R. P., & Merdawati, L. (2020). Self-Care Behaviour Practices and Associated Factors Among Adult Hypertensive Patient in Padang. Jurnal Keperawatan, 11(1), 51–58. https://doi.org/10.22219/jk.v11i1.10281
  13. Haldi, T., Pristianty, L., & Hidayati, I. R. (2020). The relationship between knowledge and attitudes of hypertensive patients towards compliance with the use of amlodipine at the Arjuno Community Health Center, Malang City. Jurnal Farmasi Komunitas, 8(1), 27. https://doi.org/10.20473/jfk.v8i1.22277
  14. Health Research and Development of RI. (2018). National Report on Basic Health Research. Kementrian Kesehatan RI, 1–582.
  15. Huda, S., Amatayakul, A., & Karuncharernpanit, S. (2015). Factors Associated with Self Care Management among Adult People with Hypertension in Jepara, Central Java, Indonesia. Anpor Annual Conference, November, 1–11.
  16. Jung, H., & Lee, J. E. (2017). The impact of community-based eHealth self-management intervention among elderly living alone with hypertension. Journal of Telemedicine and Telecare, 23(1), 167–173. https://doi.org/10.1177/1357633X15621467
  17. Karatzi, K., Moschonis, G., Botelli, S., Androutsos, O., Chrousos, G. P., Lionis, C., & Manios, Y. (2018). Physical activity and sedentary behavior thresholds for identifying childhood hypertension and its phenotypes: The Healthy Growth Study. Journal of the American Society of Hypertension, 12(10), 714–722. https://doi.org/10.1016/j.jash.2018.07.001
  18. Karim, N. A., Onibala, F., & Kallo, V. (2018). The relationship between physical activity and the degree of hypertension in outpatients in the Tagulandang health center working area, Sitaro district. E-Journal Keperawatan, 6(1), 1–6. https://doi.org/https://doi.org/10.35790/jkp.v6i1.19468
  19. Kartikasari, Sarwani, D., Rejeki, S., & Pramatama, S. (2022). Literature review: factors that influence the level of medication adherence in hypertensive patients in various regions of Indonesia. Jurnal Pendidikan Tambusai, 6(1), 11665–11676. https://doi.org/https://doi.org/10.31004/jptam.v6i2.4306
  20. Khusuma, A., Suhartiningsih, S., & Anasis, A. M. (2020). The effectiveness of sweet starfruit (Averrhoa carambola linn) as an anti-hypertensive in hypertensive patients at the central Metro health center, Metro city. Titian Ilmu: Jurnal Ilmiah Multi Sciences, 12(2), 77–84. https://doi.org/10.30599/jti.v12i2.683
  21. Mila, M., Irawan, Y., & Fakhruddin, F. (2021). Evaluation of the rationality of using antihypertensive drugs in hypertensive patients at the inpatient installation of Sultan Imanuddin General Hospital, Base Bun 2018. Jurnal Borneo Cendekia, 5(1), 105–117. https://doi.org/10.54411/jbc.v5i1.230
  22. Ministry of health RI. (2013). National basic health research 2013. https://www.depkes.go.id/resources/download/general/Hasil Riskesdas 2013.pdf
  23. Ministry of health RI. (2021). Hypertension is the main cause of heart disease, kidney failure and stroke.
  24. Muhlisin, A., & Irdawati. (2010). Orem’s self-care theory and approach to nursing practice. Berita Ilmu Keperawatan, 2(2), 97–100. https://doi.org/https://doi.org/10.23917/bik.v2i2.3800
  25. Niriayo, Y. L., Ibrahim, S., Kassa, T. D., Asgedom, S. W., Atey, T. M., Gidey, K., Demoz, G. T., & Kahsay, D. (2019). Practice and predictors of self-care behaviors among ambulatory patients with hypertension in Ethiopia. PLoS ONE, 14(6), 1–16. https://doi.org/10.1371/journal.pone.0218947
  26. Nuratiqa, N., Risnah, R., Hafid, M. A., Paharani, A., & Irwan, M. (2020). Factors associated with adherence to taking antihypertensive medication. BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia), 8(1), 16–24. https://doi.org/10.53345/bimiki.v8i1.122
  27. Nurman, M. (2021). Factors associated with adherence to a low salt diet in hypertension sufferers in Pulau Jambu village, Kampar health center working area. Jurnal Ners, 5(2), 16–22. https://doi.org/https://doi.org/10.31004/jn.v5i2.1989
  28. Okatiranti, Irawan, E., & Amelia, F. (2017). The relationship between self-efficacy and self-care for hypertensive elderly. Jurnal Keperawatan BSI, V(2), 130–139. https://doi.org/https://doi.org/10.31311/.v5i2.2631
  29. Peltzer, K., & Pengpid, S. (2018). The prevalence and social determinants of hypertension among adults in Indonesia: a cross-sectional population-based national survey. International Journal of Hypertension, 2018. https://doi.org/10.1155/2018/5610725
  30. Pratiwi, H. I., Apriliyani, I., & Yudono, D. T. (2021). The relationship between the level of knowledge about hypertension diet in hypertensive elderly and blood pressure in the Sumpiuh Community Health Center 1 area. Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat, 1508–1518. https://prosiding.uhb.ac.id/index.php/SNPPKM/article/view/738
  31. Puspita, E., Oktaviarini, E., Dyah, Y., & Santik, P. (2017). The role of family and health workers in compliance with treatment of hypertension sufferers at the Gunungpati Community Health Center, Semarang City. J. Kesehat. Masy. Indones., 12(2), 25–32.
  32. Ramadhani, M. (2021). Factors that influence the occurrence of hypertension in people in different villages in Pinang City. Jurnal Kedokteran STM, 4(1), 52. https://doi.org/https://doi.org/10.30743/stm.v4i1.132
  33. Sakinah, S., Ratu, J. M., & Weraman, P. (2020). The relationship between demographic characteristics and knowledge and self-management of hypertension in the Timorese ethnic community: cross sectional study. Jurnal Penelitian Kesehatan “Suara Forikes” (Journal of Health Research “Forikes Voice”), 11(3), 245. https://doi.org/10.33846/sf11305
  34. Salami. (2021). Self-care management behavior of hypertension sufferers: a qualitative study. Jurnal Keperawatan ’Aisyiyah, 8(1), 87–99. https://doi.org/10.33867/jka.v8i1.261
  35. Sapwal, M. J., Taufandas, M., & Hermawati, N. (2021). The relationship between family support and hypertension diet compliance in the elderly in Ladon hamlet, Wanasaba Community Health Center working area. Jurnal Medika Hutama, 2(2), 801–815.
  36. Setyorini, A. (2018). The relationship between self-efficacy and self-care management for elderly people suffering from hypertension at the Padukuhan Panggang III elderly posyandu supported by Panggang I Gunungkidul Community Health Center. Health Sciences and Pharmacy Journal, 2(2), 58. https://doi.org/10.32504/hspj.v2i2.29
  37. Suprayitno, E., & Damayanti, C. N. (2020). Caring-based supportive educational interventions improve self-care management for hypertension sufferers. Dunia Keperawatan: Jurnal Keperawatan Dan Kesehatan, 8(3), 460. https://doi.org/10.20527/dk.v8i3.9067
  38. Tamamilang, C. D., Kandou, G. D., & Nelwan, J. E. (2018). The relationship between age and physical activity and the degree of hypertension in Bitung City, North Sulawesi. Kesmas, 7(5), p6.
  39. Tarigan, A. R., Lubis, Z., & Syarifah, S. (2018). The relationship between age and physical activity and the degree of hypertension in Bitung City, North Sulawesi. Jurnal Kesehatan, 11(1), 9–17. https://doi.org/10.24252/kesehatan.v11i1.5107
  40. Unger, T., Borghi, C., Charchar, F., Khan, N. A., Poulter, N. R., Prabhakaran, D., Ramirez, A., Schlaich, M., Stergiou, G. S., Tomaszewski, M., Wainford, R. D., Williams, B., & Schutte, A. E. (2020). 2020 International society of hypertension global hypertension practice guidelines. Hypertension, 75(6), 1334–1357. https://doi.org/10.1161/HYPERTENSIONAHA.120.15026
  41. Wahyuni, S., Bafadhal, R. N., & Mahudeh, M. (2021). The effectiveness of the self-management program on the self-management of hypertensive clients. JI-KES (Jurnal Ilmu Kesehatan), 5(1), 57–63. https://doi.org/10.33006/ji-kes.v5i1.255
  42. Warren-Findlow, J., Basalik, D. W., Dulin, M., Tapp, H., & Kuhn, L. (2013). Preliminary validation of the hypertension self-care activity level effects (H-SCALE) and clinical blood pressure among patients with hypertension. Journal of Clinical Hypertension, 15(9), 637–643. https://doi.org/10.1111/jch.12157
  43. WHO. (2023). Hypertension. https://www.who.int/news-room/fact-sheets/detail/hypertension
  44. Winata, I. G., Asyrofi, A., & Nurwijayanti, A. M. (2018). Factors related to self-care in adults with hypertension at Kendal Community Health Center 01 Kendal Regency. Jurnal Manajemen Asuhan Keperawatan, 2(2), 1–8. https://doi.org/10.33655/mak.v2i2.33
  45. Wulandari, R., & Puspita, S. (2019). The relationship between knowledge, family support, and the role of health workers with the compliance of hypertension sufferers in undergoing treatment. Jurnal ’Aisyiyah Medika, 4(3), 340–352. https://doi.org/10.36729/jam.v4i3.206
  46. Xiang, R., Chen, J., Li, S., Yan, H., Meng, Y., Cai, J., Cui, Q., Yang, Y., Xu, M., Geng, B., & Yang, J. (2020). VSMC-Specific deletion of FAM3A attenuated ang II-promoted hypertension and cardiovascular hypertrophy. Circulation Research, 126(12), 1746–1759. https://doi.org/10.1161/CIRCRESAHA.119.315558
  47. Zhang, X., Zheng, Y., Qiu, C., Zhao, Y., & Zang, X. (2020). Well-being mediates the effects of social support and family function on self-management in elderly patients with hypertension. Psychology, Health and Medicine, 25(5), 559–571. https://doi.org/10.1080/13548506.2019.1687919